Provider Demographics
NPI:1841869146
Name:PRIESTER, KIYA EINE ESTONE (DC)
Entity type:Individual
Prefix:DR
First Name:KIYA
Middle Name:EINE ESTONE
Last Name:PRIESTER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MRS
Other - First Name:KIYA
Other - Middle Name:EINE ESTONE
Other - Last Name:THURMOND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4613 SHADOW MOSS CT
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30906-9297
Mailing Address - Country:US
Mailing Address - Phone:706-825-7034
Mailing Address - Fax:
Practice Address - Street 1:1250 MERRY ST
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30904-3845
Practice Address - Country:US
Practice Address - Phone:706-586-1077
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-21
Last Update Date:2022-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC.4685111N00000X
GACHIR010609111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor